Mark J. Madsen in Modesto - Physician Assistant
Mark J. Madsen - NPI 1407805757
Mark J. Madsen is a Physician Assistant in Modesto, California. Mark J. Madsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark J. Madsen is 1407805757. The last update date is 2012-12-06.
Mark J. Madsen's current location address is 1409 E Briggsmore Ave, Modesto, California. You can contact this provider via phone number 2095504725. The mailing address for Mark J. Madsen is 1409 E Briggsmore Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Madsen |
|---|---|
| Address | 1409 E Briggsmore Ave, Modesto, California |
| Phone Number | 2095504725 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1407805757 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2012-12-06 |
Provider Mailing Address Detail
| Address | 1409 E Briggsmore Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953552707 |
| Phone Number | 2095504725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10310 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA10310 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark J. Madsen by the Centers for Medicare & Medicaid Services (CMS)?
The Mark J. Madsen has been assigned the NPI (National Provider Identifier) 1407805757. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mark J. Madsen's facilities are geographically located?
The facilities of Mark J. Madsen are physically situated at the following location: 1409 E Briggsmore Ave, Modesto, CA, 953552707.
What is the area of specialization for Mark J. Madsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark J. Madsen is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407805757 to Mark J. Madsen?
The Centers for Medicare & Medicaid Services originally issued the 1407805757 to Mark J. Madsen on 2006-05-06.
As of what date were the details pertaining to Mark J. Madsen last refreshed?
The information related to the Mark J. Madsen, including its address, specialty, and other relevant details, was last updated on 2012-12-06.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL